<table style="width: 100%;">
  <tbody>
  <tr style="height: 18px;">
    <td style="width: 14%; height: 18px; text-align: right;">
      <strong>患者姓名:</strong></td>
    <td style="width: 30%; height: 18px;">[温XX]</td>
    <td style="width: 13.5293%; height: 18px; text-align: right;">
      <strong>职业:</strong></td>
    <td style="width: 30.4707%; height: 18px;">[工程师]</td>
  </tr>
  <tr style="height: 18px;">
    <td style="width: 14%; height: 18px; text-align: right;">
      <strong>性别:</strong></td>
    <td style="width: 30%; height: 18px;">[男</td>
    <td style="width: 13.5293%; height: 18px; text-align: right;">
      <strong>出生地:</strong></td>
    <td style="width: 30.4707%; height: 18px;">[广东]</td>
  </tr>
  <tr style="height: 18px;">
    <td style="width: 14%; height: 18px; text-align: right;">
      <strong>年龄:</strong></td>
    <td style="width: 30%; height: 18px;">[64岁</td>
    <td style="width: 13.5293%; height: 18px; text-align: right;">&nbsp;</td>
    <td style="width: 30.4707%; height: 18px;">&nbsp;</td>
  </tr>
  <tr style="height: 18px;">
    <td style="width: 14%; height: 18px; text-align: right;">
      <strong>婚姻状况:</strong></td>
    <td style="width: 30%; height: 18px;">[已婚]</td>
    <td style="width: 13.5293%; height: 18px; text-align: right;">
      <strong>入院时间:</strong></td>
    <td style="width: 30.4707%; height: 18px;">[2015-01-09&nbsp;09:39]</td>
  </tr>
  <tr style="height: 18px;">
    <td style="width: 14%; height: 18px; text-align: right;">
      <strong>民族:</strong></td>
    <td style="width: 30%; height: 18px;">[汉族]</td>
    <td style="width: 13.5293%; height: 18px; text-align: right;">
      <strong>记录时间:</strong></td>
    <td style="width: 30.4707%; height: 18px;">[2015-01-12&nbsp;22:39]</td>
  </tr>
  </tbody>
</table>
<br/>
<p><strong>&nbsp; &nbsp;主诉：</strong><span id="201407141711221433"
                                          class="InputFieldNormal"
                                          title="主诉G">[<span id="20141111096706"
                                                             class="InputFieldNormal"
                                                             title="简要诊断">[简要诊断/]</span><span
  id="20141111092012" class="InputFieldNormal"
  title="既往治疗方式">[既往治疗方式/]</span>后<span id="20141111093862"
                                        class="InputFieldNormal" title="简要诊断时间">[简要诊断时间/]</span><span
  id="20141111096915" class="InputFieldInvalidateValue"
  title="数据不得为空。">[简要诊断时间单位]</span>
                            <span id="20150112221832" class="InputFieldNormal"
                                  title="COPD主要症状1">[咳嗽、气促、喘息]</span>。]</span>&nbsp;</p>
<p><strong>&nbsp; &nbsp;现病史：</strong><span id="20150112104536"
                                           class="InputFieldNormal" title="现病史">[现病史]</span>。现来我院就诊，于<span
  id="201407162243171706" class="InputFieldNormal"
  title="入院方式">[入院方式]</span>以<span id="201407162244055442"
                                   class="InputFieldNormal"
                                   title="院前诊断">[院前诊断]</span>收住院。自发病以来，患者精神<span
  id="201407162244398175" class="InputFieldNormal" title="精神">[好]</span><span
  id="201407162245066254" class="InputFieldNormal" title="饮食">[饮食]</span>，
  <span id="201407162245337377" class="InputFieldNormal" title="大便">[大便正常]</span>，<span
    id="201407162245551559" class="InputFieldNormal"
    title="小便">[小便正常]</span>，<span id="201407162246108520"
                                   class="InputFieldNormal"
                                   title="体重">[体重无明显变化]</span>。&nbsp;</p>
<p><strong>&nbsp; &nbsp;既往史</strong>：一般健康状况:<span id="201407162337202938"
                                                  class="InputFieldNormal"
                                                  title="一般健康状况">[良好]</span><span
  id="201407162339007721" class="InputFieldNormal" title="高血压">[高血压]</span><span
  id="201407162339356194"
  class="InputFieldNormal" title="糖尿病">[糖尿病]</span><span id="201407162340116238"
                                                         class="InputFieldNormal"
                                                         title="支气管哮喘">[支气管哮喘]</span><span
  id="20140804145342" class="InputFieldNormal" title="手术外伤史">[手术外伤史]</span>
  <span id="20140804141758" class="InputFieldNormal" title="其他手术史">[其他手术史：描述手术时间及手术名称]</span><span
    id="2014080414255000" class="InputFieldNormal">[支，<span id="20140804149138"
                                                            class="InputFieldNormal"
                                                            title="是否戒烟">[是否戒烟]</span>]</span>
  <span
    id="201407171240066636" class="InputFieldNormal" title="毒物或放射线接触史">[毒物或放射线接触史]</span><span
    id="20141124179080" class="InputFieldNormal" title="冶游史">[无有]</span>&nbsp;
</p>
<p>&nbsp; &nbsp;<strong>婚育史：</strong><span id="20140811119144"
                                           class="InputFieldNormal"
                                           title="婚否">[已婚]</span><span
  id="2014081111914400" class="InputFieldModified">[结婚年龄：<span id="20140807165045"
                                                               class="InputFieldNormal"
                                                               title="结婚年龄">[结婚年龄]</span>岁，配偶健康
                            <span id="20140811111610" class="InputFieldNormal" title="配偶情况1">[配偶情况]</span>，<span
    id="20140811112540" class="InputFieldNormal"
    title="子女">[子女]</span>]</span>。&nbsp;&nbsp;</p>
<p>&nbsp; &nbsp;<strong>家族史：</strong><span id="20140804091628"
                                           class="InputFieldNormal" title="家族遗传病">[否认家族遗传病]</span>；<span
  id="20140804094015" class="InputFieldNormal" title="家族肺部疾病史">[否认家族肺部疾病史]</span>；<span
  id="20140804098700"
  class="InputFieldNormal" title="家族肿瘤疾病史">[否认家族肿瘤疾病史]</span>；<span
  id="20140804095217" class="InputFieldNormal"
  title="传染病史G1">[否认传染病史]</span>。<span id="20140804097531"
                                       class="InputFieldNormal" title="家族史">[其他家族史]</span>
</p>
